Mock, Kristi W.

Mock, Kristi W. is an individual health care provider with primary practice located at 4455 E 12Th Ave , Denver CO 80220-2415. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mock, Kristi W. can be contacted via phone (303) 504-7700.

Contact Information

Primary practice address
4455 E 12Th Ave Denver CO 80220-2415
Fax: (303) 782-0916
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 989180 Colorado

Profile Details

NPI number 1790777886
LBN Legal business name Mock, Kristi W.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Mar 17th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790777886 NPPES
Colorado Other 800014240 RAILROAD MEDICARE

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